Jerrold Kram, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

00G213160 Issued in CA

Practice address

13939 E 14TH St Ste 180
San Leandro, CA 94578-2601

Phone

(510) 263-3300

NPI assigned

Oct 5, 2006

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkram166956@hpmg.direct-ci.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Driftwood Hayward Operating Company, LP

  dba Driftwood Healthcare Center - Hayward

  • Skilled Nursing Facility
  • Hayward, CA
  • NPI 1871881557

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virtuox, LLC

  • Physiological Laboratory
  • Coral Springs, FL
  • NPI 1518906940
  NPD
• Inpatient Consultants of California, Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1992189286
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1205922093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAM",
        "first_name": "JERROLD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00G213160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G213160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Koskov
• Nisreen Mesiwala Kothari, MD
• Alexandria Marie Kotran
• Arielle Kovacs
• Bradford Burr Kraetzer, M.D.
• Johanna Kramer
• Alison Meredith Kranz
• Krishna Neelagiri DDS Inc
• Kelsey Krook
• Liam Reid Krueger

• Pulmonary Disease Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.